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Untreated syphilis, for example, can lead to: And STIs such as gonorrhea and chlamydia are major causes of pelvic inflammatory disease (PID) and infertility, according to WHO.
Shahin said she also worries about the scarring of Fallopian tubes harming fertility of those aged 15 to 29, a potential consequence of repeated chlamydia infections that go untreated.
Rita Shahin, associate medical officer of health with Toronto Public Health.
But global efforts to contain the spread of STIs, such as interventions aimed at reducing risky sexual behaviour, haven't been sufficient, according to the regions currently have clusters of syphilis in local reserve communities, he said.
In particular, the introduction of new tests for pharyngeal and rectal forms of gonorrhea and chlamydia may have led to additional testing, Shahin said.
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"The concern is that we may be running out of antibiotics in the next few years, potentially, as resistance increases," said Shahin.
Other factors that may be contributing to increasing rates, Shahin said, include: decreasing condom use, the rise of online dating apps, lags in sexual health education, and an overall increase in STI testing.